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Decentralisation of long-term care in the Netherlands
 — the case of the day care at green care farms for people with dementia
Author(s)Stephanie J M Nowak, Claudia C M Molema, Caroline A Baan
Journal titleAgeing and Society, vol 35, no 4, April 2015
PublisherCambridge University Press, April 2015
Pagespp 704-724
Sourcejournals.cambridge.org/aso
KeywordsDementia ; Activities of older people ; Outdoor life ; Day services ; Day centres ; Local Authority ; Netherlands.
AnnotationResponsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. The authors interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. The study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks; and green care farmers know little about what municipalities expect from them in the new situation. The authors recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia. (RH).
Accession NumberCPA-150623023 A
ClassmarkEA: G: HS: NM: NMC: PE: 76H

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